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9 <br /> NOTE: PULL ALL1.eRMIT8 (Septic, Well, etc.) MAKE MP1ES FOR FILE <br /> _LAND USE REPORT RECORD ID: S00004614 <br /> DATE RECEIVED by EHD: August 20,2004 APPL 4: PA-04-463 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, September 7, 2004 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 22350 E NAVARRO CT,LINDEN APN : 09303059 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> e'j zz.0 <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Y <br /> �} <br /> SUPERVISOR/LEAD SENIOR Approval: — Date: <br /> EH 06 06 Report#7201 Page 3 August 25,2004 <br />